One Case of Subcapsular Hematoma with Persistent Neonatal Hyperbilirubinemia. |
Sang Hee Son, Kyung Ah Nam, Ji Youn Choi, Meen Jung Kim, Son Sang Seo, Jung Mee Kweon |
1Department of Pediatrics, Ilsin Christian Hospital, Pusan, Korea. 2Department of Radiology, Ilsin Christian Hospital, Pusan, Korea. |
심한 고빌리루빈혈증 신생아에서 발견된 피막하 간혈종 1례 |
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Abstract |
A neonate may incur liver injury during spontaneous delivery. The liver is the organ most likely to be injured during the birth process. Breech presentation and manipulation are the most common causes of hepatic trauma.
However, hepatic hemorrhage can occur in any infant, regardless of size and the type of delivery. Infants with subcapsular hemorrhage are usually asymptomatic at birth, and gross hepatic rupture from these lesions is unusual. In patient with primary rupture, major bleeding takes place immediately, explaining the high percentage of neonatal deaths with massive liver rupture. If subcapsular hemorrhage remain intracapsular with spontaneous resolution, the only treatment needed in subcapsular hemorrhage may be transfusion. We experienced one case of neonatal subcapsular hemorrhage with persistent hyperbilirubinemia. We report this case with the brief review of related literature. |
Key Words:
Neonatal hepatic subcapsular hemorrhage; Hyperbilirubinemia |
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